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Organization

CIMARRON CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE BOYD APRN, FNP (PROVIDER/MANAGER)
(405) 547-1171
Entity
Organization

Contact information

Practice address
101 OK-33, PERKINS, OK 74059-7405
(405) 547-1171
(405) 547-4075
Mailing address
PO BOX 555, WILBURTON, OK 74578-0555
(405) 547-1171

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1202108030001074
OK
Enumeration date
06/14/2022
Last updated
06/14/2022
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